According to the LA Times,
it found that 17.8 percent of a total of 15,676 vets prescribed opioid
painkillers for 20 or more consecutive days suffered PTSD, while only
11.7 percent of vets with mental health diagnoses but not PTSD and 6.5
percent of vets with no mental health diagnosis at all were prescribed
the drugs.

And subsequent suicides, other self-inflicted injuries, and drug and
alcohol overdoses were all more common in vets with PTSD who were
prescribed the drugs, according to the Associated Press.

Opium-based drugs like morphine and hydrocodone can dull excruciating
physical pain, though they are rarely prescribed to veterans.

However, some doctors — often operating outsie the Veterans Affairs
health system— prescribe them for vets who also have mental pain "with
the hope that the emotional distress that accompanies chronic pain will
also be reduced," the AP quoted Michael Von Korff, a chronic illness
researcher with Seattle's Group Health Research Institute, as saying.

However, "opioids can sometimes make emotional problems worse," he said.

Some vets in the study got the drugs from overburdened primary care
physicians, said lead study author Dr. Karen, according to the AP.

"Imagine primary care doctors getting about 20 minutes to see a patient
expressing high levels of distress," because of war-related physical
and mental trauma, she said.

The balance between providing pain relief and caution over addictive drugs "is always in play," she said.

PTSD the most prevalent mental health disorder among veterans returning
home with co-existing mental and physical health problems, Nurse.com reported.

According to the website, the study authors wrote: "Nationwide, the
prescription of opioid analgesics has nearly doubled since 1994 because
of a greater recognition of the importance of treating pain.

"At the same time, rates of prescription opioid misuse and overdose
have increased sharply, and prescription opioids are now a leading cause
of death in the United States.

"Iraq and Afghanistan veterans with pain- and PTSD-prescribed opioids
may be at particularly high risk of prescription opioid misuse given the
high co-occurrence of substance abuse disorders among veterans with
PTSD."

Add to this the fact that record numbers of Iraq and Afghanistan
veterans are surviving their war injuries, owing to improvements in
battlefield medicine and protective gear, and the outcomes are
potentially troubling, the study authors said.

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